127 resultados para Rehabilitation of degraded areas
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The primary teeth are essential for bone development and establishment of the arches on occlusion. Thus, the congenitally absence of teeth may trigger a shift in the balance of the occlusion, promoting disharmony in the structures of the maxilla-mandibular system. However, some interventions are possible to be performed in these cases even in pediatric patients, to redirect growth, preventing growth deviations and reestablishing the aesthetic. The aim of this paper is to report the treatment of a 4-year-old child presenting congenitally absence of mandibular central and lateral incisors and maxilla lateral incisors, which consequently compromises aesthetics, occlusal function, and the development and the functional growth of the bones. The oral rehabilitation was performed with an adhesive partial denture, which was able to restore the aesthetic and the occlusal function, therefore being a viable alternative in the treatment of this patient of little age.
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The aim of this paper is to present a complex rehabilitation, of fractured tooth, with implants in anterior region considering the orthodontics extrusion to clinical success. At 7 years old, the patient fractured the maxillary left central incisor and the dentist did a crown with the fragment. Twenty years later, the patient was referred to a dental clinic for orthodontic treatment, with the chief complaint related to an accentuated deep bite, and a professional started an orthodontic treatment. After sixteen months of orthodontic treatment, tooth 21 fractured. The treatment plan included an orthodontic extrusion of tooth 21 and implant placement. This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient. The forced extrusion can be a viable treatment option in the management of crown root fracture of an anterior tooth to gain bone in a vertical direction. This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.
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Currently, biodiversity is threatened by several factors often associated with human population growth and the extension of areas occupied by human activity. In particular, freshwater fish fauna is affected by overfishing, deforestation, water pollution, introduction of exotic species and habitat fragmentation promoted by hydroelectric dams, among other environmental impact factors. Several action plans to preserve ichthyofauna biodiversity have been adopted; however, these plans frequently cover only a small number of species, and decisions are often made without strong scientific support. This study aimed to evaluate the genetic aspects of wild groups of Brycon orbignyanus, an endangered fish species, using microsatellites and D-loop regions to identify the genetic structure of the samples and to establish priority areas for conservation based on the genetic patterns of this species. The results indicated that the samples showed levels of genetic variability compatible with others studies with Neotropical fishes. However, the results obtained in the analysis of molecular variance (AMOVA) for microsatellites (F (ST) = 0.258) and D-loop (F (ST) = 0.234) and the interpopulation fixation index revealed that B. orbignyanus was structured in different subpopulations in the La Plata River basin; the areas with better environmental conditions also showed subgroups with higher rates of genetic variability. Future conservation actions addressing these sites should consider two different management units: the complex formed by the Ivinhema River, Upper Parana, Camargo Port and Ilha Grande groups; and the complex formed by the Verde River and Sucuriu River groups.
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The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.
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Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed . Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.
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The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.
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The use of physical protectors has been considered as an efficient technique for tillage farming of different species, mainly native ones. Based on the importance of the species, Peltophorum dubium for revegetation of degraded areas, this study evaluated the emergence, survival and initial development of P. dubium seedlings under the influence of physical protectors with different filters. Thus, the following treatments were adopted: absence of physical protector (APP), transparent physical protector (TPP), transparent physical protector + blue cellophane (BPP) and transparent physical protector + red cellophane (RPP). The evaluated characteristics were: emergence velocity index (EVI), seedling survival and emergence percentage, plant height, leaf area and root collar diameter. All of these physical protectors increased the mean values of EVI and survival. In conclusion, the emergence speed and initial development of P. dubium (Spreng.) seedlings grown in the interior of physical protectors, independent on the filters, presented positive results. The reduction on the light intensity interferes positively in the initial growth of these plants.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Acacia polyphyla (Mimosaceae) é uma espécie arbórea nativa do Brasil, importante para a recuperação de áreas degradadas. Sementes dessa espécie foram armazenadas em condições naturais e artificiais, com os objetivos de avaliar a longevidade das sementes no solo, conservar a sua qualidade fisiológica pelo período correspondente a duas colheitas e verificar o requerimento fotoblástico das sementes armazenadas. em condições naturais, as sementes foram enterradas em clareira, sob dossel ralo e sob dossel denso. As sementes deterioraram rapidamente, revelando-se incapazes de compor o banco de sementes do solo. em condições artificiais, as sementes foram acondicionadas em diferentes embalagens e armazenadas por dois anos em ambiente não controlado e em câmara fria. Periodicamente, as sementes foram colocadas para germinar a 25ºC, na ausência de luz e sob fotoperíodo de oito horas sob luzes branca e de sombreamento. Durante todo o período de armazenamento, a germinação no escuro foi inferior à constatada sob luzes branca e de sombreamento. A qualidade fisiológica foi conservada por dois anos, quando as sementes foram acondicionadas em embalagem impermeável e armazenadas em câmara fria. O comportamento germinativo das sementes armazenadas por dois anos foi comparado com o de sementes recém-colhidas, em temperaturas constante e alternada, não sendo constatado efeito da idade e do regime de temperatura no requerimento fotoblástico das sementes.
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A recuperação de áreas degradadas é um processo lento e requer a adição de resíduos orgânicos como condicionador das propriedades físicas do solo. O lodo de esgoto apresenta elevados teores de matéria orgânica (MO) e nutrientes e, portanto, tem alto potencial para utilização nessas áreas. O objetivo deste trabalho foi verificar o efeito da adição de lodo de esgoto na recuperação das características físicas de um solo degradado (Neossolo Quartzarênico) plantado com espécies nativas da Mata Atlântica, na Fazenda Entre-Rios, pertencente à Cia. Suzano Bahia Sul de Papel e Celulose, na região de Itatinga-SP. O experimento foi conduzido em blocos casualizados com quatro repetições. Os tratamentos foram constituídos por seis doses de lodo de esgoto (0, 2,5, 5, 10, 15 e 20 t ha-1), mais um que recebeu a adubação química. A aplicação de lodo de esgoto, para recuperação de áreas degradadas, aumentou os agregados do solo conforme o aumento das doses de lodo, até 12 meses após sua aplicação. As porosidades (macro, micro e total) do solo foram aumentadas com as maiores doses de lodo de esgoto até seis meses após sua aplicação; apenas a microporosidade foi aumentada até 12 meses após a aplicação. Houve aumento da umidade do solo em função do aumento das doses de lodo no solo até seis meses após a aplicação.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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A utilização de recursos naturais e a necessidade de recuperação de áreas degradadas têm assumido importância global, sendo que a estimativa de custos garante a viabilidade econômica, para implantação de projetos de conservação ou recuperação. Foram estimados os custos para implantação de um hectare da espécie arbórea Gonçalo-Alves (Astonium fraxinifolium Schott), com adubação verde, em Latossolo Vermelho degradado, como se segue: Gonçalo-Alves + Feijão-de-porco; Gonçalo-Alves + crotalária; Gonçalo-Alves + fórmula NPK (04-14-08); e Gonçalo-Alves + braquiária + lodo. A estimativa do custo de implantação de Gonçalo-Alves, para a região leste do Estado do Mato Grosso do Sul, variou entre R$ 2.829,13 e R$ 3.872,21. O tratamento com braquiária + lodo de esgoto foi o mais econômico, considerando-se um período de cinco anos, além dos benefícios ambientais relacionados ao descarte viável deste resíduo, por estações de tratamento de esgoto.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)